
Clinical Documentation Specialist
18 hours ago
Role Overview:
A medical scribe plays a pivotal role in facilitating the workflow of healthcare providers by documenting clinical interactions in real-time, ensuring accurate and detailed patient records.
This allows medical professionals to focus more on delivering quality patient care while entrusting the documentation side of encounters to skilled scribes.
The medical scribe must maintain effective communication with healthcare providers to clarify and ensure accuracy of documentation throughout the process.
Key Responsibilities:- Documenting real-time patient encounters during virtual or recorded consultations using Electronic Medical Records (EMRs)
- Accurately capturing patient histories, physical exam findings, diagnostic impressions, treatment plans, and follow-up instructions
- Updating and maintaining charts, medication lists, allergies, and problem lists
- Assisting with administrative tasks such as templating notes and handling visit summaries
- Reviewing prior records to provide context for current visits
- Excellent verbal and written English communication skills
- At least 1-2 years of experience as a medical scribe or in a clinical documentation role
- Familiarity with medical terminologies and clinical workflows
- A healthcare-related degree is highly preferred
- Proficient with Google Workspace and/or Microsoft Office
- Experience with EMRs such as Epic, Cerner, or AthenaHealth is a plus
- HIPAA Certification is a plus
- Fast and accurate typing skills
- Strong attention to detail
- Organized and highly focused
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